Specifications include, but are not limited to: The Ohio Department of Medicaid (ODM) is soliciting applications to identify five (5) qualified nursing facilities, licensed and certified by the Ohio Department of Health, to participate in a demonstration project, the Nursing Facility Alternative Rehabilitation Model (the demonstration), to provide care and services to eligible recipients in lieu of hospital inpatient services in freestanding long-term care hospitals (LTCHs). This demonstration is expected to reduce errors in service delivery by improving continuity of care through a reduction in the number of transitions between different types of medical settings. Rather than an individual transferring from an acute care hospital to an LTCH, to a nursing facility (NF), an individual can transition from the acute care hospital directly to a NF. ODM will select one qualified nursing facility that offers rehabilitative and skilled nursing services in each of the following counties: Brown, Cuyahoga, Franklin, Hamilton, and Sandusky.